{"id":10113,"date":"2021-02-05T09:43:42","date_gmt":"2021-02-05T14:43:42","guid":{"rendered":"https:\/\/wp.oviahealth.com\/guide\/10113\/second-trimester-guide\/"},"modified":"2025-01-13T13:28:15","modified_gmt":"2025-01-13T18:28:15","slug":"second-trimester-guide","status":"publish","type":"article","link":"https:\/\/www.oviahealth.com\/guide\/10113\/second-trimester-guide\/","title":{"rendered":"Second trimester guide: time to coast"},"content":{"rendered":"\n<p>Months 4 through 6 of pregnancy are often relatively low-maintenance. The <span style=\"font-weight: 400;\">challenges <\/span><span style=\"font-weight: 400;\">of the first<\/span><span style=\"font-weight: 400;\"> trimester are in the rearview mirror,<\/span> nausea decreases, and energy returns. Most exciting of all? You\u2019ll start to feel <span class=\"pronoun-baby\" data-pronoun=\"baby\">Baby<\/span>\u2019s first movements.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>Symptoms<\/strong><\/h4>\n\n\n\n<p>Second trimester symptoms are generally tame, and most of the bothersome ones are overshadowed by exciting signs of new life. A few pesky symptoms include:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Shortness of breath:<\/strong> The uterus continues to grow and might put some pressure on your lungs <span style=\"font-weight: 400;\">that you notice while taking the stairs or going for a run<\/span>. This feeling is totally normal, but talk to your healthcare provider if you feel like <span style=\"font-weight: 400;\">even basic activities leave you breathless<\/span> or if the difficulty breathing has a very quick onset.<\/li>\n\n\n\n<li><strong>Stretch marks:<\/strong> Your ever-changing shape might cause you to develop some purple or white lines on your skin. They\u2019ll fade and become less noticeable <span style=\"font-weight: 400;\">or most folks after the postpartum phase. Stretch marks can feel itchy or dry, and a soothing lotion or balm can help!<\/span><\/li>\n\n\n\n<li><strong>Vivid dreams:<\/strong> <span style=\"font-weight: 400;\">Blame it on pregnancy hormones or interrupted sleep, but vivid dreams can be very common during pregnancy.\u00a0<\/span><\/li>\n\n\n\n<li><strong>Dizziness:<\/strong> The second trimester can make your blood pressure drop as your <span style=\"font-weight: 400;\">blood volume increases and blood vessels relax<\/span>. This can leave you lightheaded or dizzy, so make sure you stay hydrated and feel free to sit or lie on your side to feel better and stay safe.<\/li>\n\n\n\n<li><span style=\"font-weight: 400;\"><strong>Round ligament pain:<\/strong> A brief and sharp pain, often felt in the groin or hips, round ligament pain is a pregnancy staple for most folks. Although you may be unable to avoid it completely, moving slowly (don\u2019t jump up out of your seat!) and wearing supportive belts or clothing can help.\u00a0<\/span><\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>Healthcare provider appointments<\/strong><\/h4>\n\n\n\n<p>Second trimester OB provider visits, which should take place about every four weeks, are important for tracking your blood pressure, baby&#8217;s growth and discussing symptoms.<\/p>\n\n\n\n<p>Your provider will take measurements of your stomach from the top of the uterus to the base of your pelvis, which gives a good idea of <span class=\"pronoun-baby\" data-pronoun=\"baby\">Baby<\/span>\u2019s changing size. Perhaps the most exciting part of second trimester visits is the opportunity to hear <span class=\"pronoun-their\" data-pronoun=\"their\">their<\/span> heartbeat.<\/p>\n\n\n\n<p>Even though birth is still a few months away, your healthcare provider will also take this time to talk to you about childbirth classes and give you information about signs of premature labor. Don\u2019t hesitate to tell your healthcare provider about any physical or emotional concerns, <span style=\"font-weight: 400;\">as they can guide you to further sources of support when necessary.<\/span><\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>Tests<\/strong><\/h4>\n\n\n\n<p><span style=\"font-weight: 400;\">Between weeks 15 and 24, most people have several milestone pregnancy exams! These may include:<\/span><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><span style=\"font-weight: 400;\"><strong>Anatomy Ultrasound and Cervical Length:<\/strong> A favorite of most parents, the anatomy ultrasound takes a thorough look at every inch of your growing baby. From head to toe, and your baby\u2019s sex if you want to know it, will be shown to you in detail. A cervical length is often done at the same time. This precise ultrasound measurement of the opening of your uterus can identify those at risk for preterm labor and birth.<\/span><\/li>\n\n\n\n<li><strong>Multiple marker screening:<\/strong> Alpha-fetoprotein, which is secreted by the fetus, can be a sign of Down syndrome or spina bifida if present at very high levels. This can be detected with a simple blood draw, and most women undergo the screening. An abnormal result, which occurs in about 4% of women, could be a false positive, so your healthcare provider will perform an ultrasound to confirm a genetic defect.<\/li>\n\n\n\n<li><strong>Amniocentesis: <\/strong><span style=\"font-weight: 400;\">This is an invasive diagnostic test to confirm chromosomal differences, usually after a screening blood test or ultrasound has been flagged as high risk. It is an optional test for parents who want more certainty than screening tests can provide. A needle is inserted into the amniotic sac to withdraw a small amount of fluid for testing. It is a brief in-office procedure guided by ultrasound. It carries a small risk of miscarriage.<\/span><\/li>\n\n\n\n<li><strong><a href=\"https:\/\/www.oviahealth.com\/guide\/10177\/glucose-challenge-test-gestational-diabetes\/\">Glucose challenge test<\/a><\/strong><span style=\"font-weight: 400;\"><strong>:<\/strong> After drinking a prepared beverage, parents-to-be have their blood drawn to see how their body responds to a specific amount of glucose. High results require additional testing and may lead to a diagnosis of gestational diabetes. High-risk people will have this test even earlier in pregnancy. <\/span><\/li>\n<\/ul>\n\n\n\n<p><em><strong>Reviewed by the Ovia Health Clinical Team<\/strong><\/em><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h5 class=\"wp-block-heading\">Read more<\/h5>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"\/guide\/10389\/second-trimester-doctor-appointments\">Second trimester doctor appontments<\/a><\/li>\n\n\n\n<li><a href=\"\/guide\/10282\/shortness-of-breath-when-pregnant\">Shortness of breath when pregnant<\/a><\/li>\n<\/ul>\n\n\n\n<h5 class=\"wp-block-heading\">Sources<\/h5>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Mayo Clinic Staff. &#8220;Second trimester pregnancy: What to expect.&#8221; <em>Mayo Clinic.<\/em> Mayo Clinic, 5\/15\/2014. Web.<\/li>\n\n\n\n<li>&#8220;Body changes and discomforts.&#8221; <em>Womenshealth.gov.<\/em> U.S. Department of Health &amp; Human Services, 9\/27\/2010. Web.<\/li>\n\n\n\n<li>Mayo Clinic Staff. &#8220;Prenatal testing: Is it right for you?.&#8221; <em>Mayo Clinic.<\/em> Mayo Clinic, 8\/22\/2015. Web.<\/li>\n\n\n\n<li>Mayo Clinic Staff. &#8220;Prenatal testing: Quick guide to common tests.&#8221; <em>Mayo Clinic.<\/em> Mayo Clinic, 8\/8\/2015. Web.<\/li>\n\n\n\n<li>&#8220;Preterm labor.&#8221; <em>March of Dimes.<\/em> March of Dimes, n.d. Web.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>In between the shock of becoming pregnant and the frantic preparation for the big arrival, there&#8217;s an island of relative calm &#8211; the second 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